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Pursuant to K.S.A. 82a-1021 (e), I certify that I am an eligible voter of the district by being the age of Eighteen (18) or upward and qualify by means of one of the following criterion and the other provisions of this law.
I am a natural person who is a landowner who owns, of record, any land, or any Interest in land, comprising forty (40) or more contiguous acres (not excluded From assessment) located within the boundaries of the district and not within the corporate limits of any municipality.I am a natural person who withdraws or uses groundwater (not excluded from Assessment) from within the boundaries of the district in an amount of one acre-foot or more per year.
DIRECTIONS: Complete one (1) form for each vote represented
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